Individual
AMANDA WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC #9708
Contact information
Practice address
30 DANIELS ST APT 407, MALDEN, MA 02148-4218
(617) 980-1093
Mailing address
33 MAPLE ST, WATERTOWN, MA 02472-4605
(617) 980-1093
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
9708
MA
Other
Enumeration date
01/13/2014
Last updated
03/11/2021
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